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Contact Information

HYDRACORE WELLNESS LLC
674 EAST MAIN STREET
HEGINS, PA17938
 Phone: 570-294-6725
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HYDRACORE WELLNESS LLC

NPI Number 1669323739
LBN Legal business name HYDRACORE WELLNESS LLC
Authorized official MADISON MAURER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2026
Last updated 02/05/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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